PAEA Surgery End Of Rotation (EOR) Practice Exam

What is the major indication for post-operative management related to DVT?

1. Physical therapy

2. Weight management

3. Anticoagulation therapy

4. Metabolic control

The correct answer is: Anticoagulation therapy

The major indication for post-operative management related to deep vein thrombosis (DVT) is anticoagulation therapy. This is primarily due to the fact that surgical procedures, particularly those involving the lower limbs or those that immobilize a patient, significantly increase the risk of thromboembolic events, including DVT. Anticoagulation therapy helps to reduce the risk of clot formation by preventing the activation of the coagulation cascade and inhibiting the formation of fibrin clots. In addition to direct risk reduction for DVT, anticoagulation therapy is essential for patients who may already have some level of venous stasis due to sedation or immobility. By maintaining fluidity within the vascular system and preventing platelet aggregation, anticoagulants play a critical role in ensuring patient safety during the post-operative phase, particularly in higher-risk populations such as those undergoing major surgery, orthopedic procedures, or those with a history of venous thromboembolism. While physical therapy, weight management, and metabolic control are important aspects of overall patient recovery and can influence the risk of DVT indirectly, they do not target the issue as directly as anticoagulation therapy. Physical therapy promotes mobility and can contribute to venous return but is not a substitute for antico